Grade 10 Health Opt-Out (2023-2024)

As per Board Policy 5250, pupils may be excused from any part of the instructions in health education, family life education, sex education, or instruction that includes dissection of animals that the parent(s) or legal guardian(s) of the pupil or the adult pupil finds morally, conscientiously, or religiously offensive. 

Complete the form below to submit your request to have your child excluded from a health lesson. The form must be submitted at least two days in advance of the scheduled lesson.

Please make sure your child knows that they will be excused from the requested lesson/unit.

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Email *
Student name (Last name, First name as listed in Genesis) *
Student ID *
Parent/Guardian #1 name (Last name, First name) *
Parent/Guardian #1 phone number *
Parent/Guardian #2 name (Last name, First name)
Parent/guardian #2 phone number
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